Study on longitudinal integration of medical service resources considering patients' preference in tiered medical care system
10.3969/j.issn.1674-2982.2018.02.008
- VernacularTitle:分级诊疗制度下考虑患者偏好的医疗服务资源纵向整合研究
- Author:
Zhi-Jie SONG
1
;
Yan-Ping GUO
;
Zeng-Liang JI
;
Ying XIA
Author Information
1. 燕山大学经济管理学院 河北秦皇岛 066004
- Keywords:
Tiered medical care system;
Patients'preference;
Fictitious play;
Medical service resources opti-mization;
Longitudinal integration
- From:
Chinese Journal of Health Policy
2018;11(2):52-58
- CountryChina
- Language:Chinese
-
Abstract:
The hierarchical diagnosis and treatment system is an important measure for rational allocation of medical resources, promotion of equalization of basic medical services, improving the patients' disorderly medical treatment and guiding patients' hospital choice behavior. This paper defines the utility function of rational medical treatment of patients affected by multiple factors such as the personal disposable income,the age,the severity of the self-induced illness and the decision-makers' education level, and considered the outpatient price, service capacity and other factors of medical institutions. The present study constructed the incomplete information dynamic game model based on fictitious play method. It provided the quantitative analysis of the statistical data of Qinhuangdao and obtained the patients distribution in medical institution. The rationality of the model was verified by comparing the simulation with actual data,and showed the choice is more reasonable between the primary health care and general hospital. Therefore,the emphasis of optimizing the medical service resources in hierarchical diagnosis and treatment system is to establish the treatment system of integrated medical service for patients'on-demand and on-demand medi-cal services. At the same,various incentives should be used to enhance patients'enthusiasm for primary health care.
